An Unusual Presentation of New Onset Sarcoidosis

Authors

  • Christian Dresser Department of Family Medicine,West Virginia University (WVU),Wheeling Hospital,Wheeling,WV 26003, USA
  • Ramya Ramesh Department of Family Medicine,West Virginia University (WVU),Wheeling Hospital,Wheeling,WV 26003, USA
  • Rafael Hamaw Department of Family Medicine,West Virginia School of Osteopathic Medicine (WVSOM), Lewisburg,WV 24901, USA
  • Bradley Schmitt Department of Family Medicine,West Virginia University (WVU),Wheeling Hospital,Wheeling,WV 26003, USA
  • Sathyanaryana Machani Department of Internal Medicine,West Virginia University (WVU),Wheeling Hospital,Wheeling,WV 26003, USA

DOI:

https://doi.org/10.17140/PRRMOJ-6-140

Keywords:

Weight loss, Hilar lymphadenopathy, Confusion, Fatigue, Shortness of breath (SoB)

Abstract

This paper summarizes the case of a patient admitted to the hospital for nausea, light-headedness, and vomiting in the setting of persistent leukocytosis. Despite being adequately treated for an infection, the patient’s leukocytosis did not resolve. Workup yielded a diagnosis of sarcoidosis. This is an unusual presentation of sarcoidosis since the patient did not present with typical respiratory symptoms. The presenting dyspnea on exertion is thought to be due to his smoking history. Treatment is promptly initiated with steroids. It is of utmost importance to initiate steroid therapy to prevent the progression of the disease. Sequelae may include glaucoma, small-fiber neuropathy, and pain syndromes.

References

Sève P, Pacheco Y, Durupt F, et al. Sarcoidosis: A clinical overview from symptoms to diagnosis. Cells. 2021; 10: 766. doi: 10.3390/cells10040766

Han YS, Rivera-Grana E, Salek S, Rosenbaum JT. Distin-guishing uveitis secondary to sarcoidosis from idiopathic disease. JAMA Ophthalmol. 2018; 136: 109. doi: 10.1001/jamaophthal-mol.2017.5466 Submit your article to this journal | https://openventio.org/submit-manuscript/ Case Report | Volume 6 | Issue 1 | Dresser C, et al

Gerke AK. Treatment of sarcoidosis: A multidisciplinary ap-proach. Front Immunol. 2023; 11: 545413. doi: 10.3389/fim-mu.2020.545413

Basma MM, Mervat EB, Mohamed F, et al. Sarcoidosis be-yond pulmonary involvement: A case series of unusual pres-entations. Respir Med Case Rep. 2021; 34: 101495. doi: 10.1016/j. rmcr.2021.101495

Belperio JA, Shaikh F, Abtin FG, et al. Diagnosis and treatment of pulmonary sarcoidosis: A review. JAMA. 2022; 327: 856-867. doi: 10.1001/jama.2022.1570

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Published

2023-04-25

How to Cite

Christian Dresser, Ramya Ramesh, Rafael Hamaw, Bradley Schmitt, & Sathyanaryana Machani. (2023). An Unusual Presentation of New Onset Sarcoidosis. Pulmonary Research and Respiratory Medicine, 6(1), 1–3. https://doi.org/10.17140/PRRMOJ-6-140

Issue

Vol. 6 No. 1 (2023): Volume 6 Issue 1 2023

Section

Articles

License

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All content published in Pulmonary Research and Respiratory Medicine (PRRM) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.